Ask the Experts: Emergency Medicine

Medscape's Ask the Experts feature allows you to ask members of a panel of leading experts for advice or information. You also have the opportunity to share your own views and insights by clicking the "Discuss this" link at the top of each response.

 

Ask the Experts

  • Yosprala(TM) in At-Risk Patients Requiring Low-Dose Aspirin Do the benefits of Yosprala(TM) therapy outweigh its costs when compared with combination therapy with aspirin and a proton-pump inhibitor taken as individual products?
  • Can RNs Bolus Propofol? Nurses often titrate deep sedation, but can they push these drugs if ordered to do so?
  • Buprenorphine Prescribing by NPs and PAs Why is it easy for NPs and PAs to prescribe opioids but not buprenorphine to treat opioid-use disorder?
  • Garcinia for Weight Loss: Modest Effect With Safety Caveats Is garcinia a safe and effective dietary supplement for patients hoping to lose weight?
  • Why Shouldn't Nurses Manage Epidural Infusions? If the anesthesia provider gives the order, can the nurse change the infusion rate or administer a bolus through an epidural catheter?
  • Should Labor and Delivery Nurses Perform Moderate Sedation? A hospital wants its L&D nurses to learn moderate sedation in the rare event that an emergency C-section is performed under local anesthesia.
  • Utah Nurse Arrest: The Legal Questions, Answered Could what happened in Utah happen in your hospital? Here we answer the legal questions and offer ways for nurses and hospitals to review their policies on interactions with law enforcement.
  • Poppy Seed Tea: Beware This Beverage For centuries, poppy seed tea has been used for its narcotic, analgesic, antidiarrheal, or euphoric effects, or as a substitute for opiates. What are the risks associated with this herbal beverage?
  • Antibiotics and Mental Status Changes In the differential diagnosis of new-onset confusion, don't overlook antibiotics.
  • Beta-Blockers for Cocaine-Associated Chest Pain While there is a consensus that cocaine causes cardiotoxicity that is multifactorial in nature, is the role of beta-blockers in mitigating its effects any more clear?
  • Sulfa, Sulfur, Sulfate, Sulfite: Which Causes an Allergy? Learn about the potential for hypersensitivity reactions with sulfa/sulfonamide antimicrobials, and whether cross-reactivity with nonantimicrobials or sulfur-containing compounds should be a concern.
  • Can RNs Remove PICCs? Should RNs be able to remove PICCs with a written order to do so, and is any special education or preparation required?
  • Documentation for Billing When Supervising a New NP When the employer bills Medicare, you also are responsible for ensuring that services billed under your name are billed appropriately. Learn the rules.
  • Drug-Induced Angioedema Which medications are most commonly associated with drug-induced angioedema?
  • Lesser-Known Opioid Adverse Effects What are the lesser-known adverse effects that the FDA recently added to opioid drug labeling?
  • Counseling for Emergency Contraception While personal information is not required to purchase emergency contraception, what counseling should be offered about its proper use?
  • What Should I Do About a Forged Prescription? A pharmacist detects a prescription for hydrocodone forged with a nurse practitioner's signature. Opinions differ on what action to take. Does the law help?
  • Can Exercise Keep Dementia at Bay? We know that exercise is beneficial for many reasons, but does it also delay onset of dementia? Dr Zaldy Tan, a leading neurologist, reviews the research.
  • Should I Prescribe Another Opioid for This Patient? A clinician who performs minor surgical procedures is in a quandary about whether to prescribe an opioid for postprocedure pain to patients who are already taking opioids.
  • $5 Insanity: A New Drug of Abuse What is this new insanity drug of abuse known as gravel or flakka?